Surgical Clinical Analyses Of Diagnosis And Treatment Of81Patients With Papillary Thyroid Carcinoma

Objective: Analysis and study of papillary thyroid carcinoma in clinicaldiagnosis，operation methods，prevention and cure of complications，postoperative adjuvant therapy and prognosis factors of the status quo，summed up the experience of surgical diagnosis and treatment of thyroidpapillary carcinoma．Methods: Retrospective analysis the clinical data of81patients in thesecond subsidiary hospital of chongqing medical university those acceptedthe first time treatment from January2008-December2012，and all patientsgive long periods of time follow-up visits．Results：To research the patients of the group，the male to female ratio isabout1:3，aged20to83years old，the average age of49.15years old；90.12%of patients preoperative used colour Doppler supersonicmonitoring；Operation method for total resection of thyroid or subtotalresection；All surgical patients in routine frozen examination；All patientswith postoperative paraffin section as a result of thyroid papillarycarcinoma，including thyroid microcarcinoma15cases，accounting for 18.5%；With a total of67patients with stage I and II，accounting for82.7%，a total of14patients with stage III and IV，accounting for17.3%；9cases showed the postoperative complications，accounting for11.1%；All patients accept endocrinotherapy；With the follow-up for about3month-5years，each1case of recurrence and death．Conclusions: With the increasing of the morbidity of thyroid cancer yearby year，and especially the proportion of thyroid papillary， mortality ofthyroid increasing also，it should strengthen the consciousness of physicalexamination， and also doctors must be relatively conservative attitude intoa positive attitude by the past；Ultrasonic examination need be listed as thefirst choice for the preoperative of thyroid disease； Suggest routineintraoperative rapid frozen section examination，and improve its diagnosticaccuracy，in order to reduce the false negative rate and false positive rate，decreases the chance of secondary surgery；Surgical methods should beaccording to the diseased region，extrathyroidal invasion and lymph nodemetastasis，formulate personalized solutions； In generally，prophylacticneck dissection is not recommended； doctors should be careful aboutprotecting the recurrent laryngeal nerve，superior laryngeal nerve and gley’s glands，emphasize to reduce the incidence of complications and improvethe patients quality of life；Postoperative patients should adhere to thethyroxine hormone therapy，reduce tumor metastasis or recurrence，andregular monitoring of TSH and Tg．...